Shawnee Pedorthic Service, Inc.

LBN: Shawnee Pedorthic Service, Inc.
Shawnee Pedorthic Service, Inc. is an health care organization with primary practice located at 1510 N Kickapoo Ave Suite 11, Shawnee OK 74804-4331. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Shawnee Pedorthic Service, Inc. can be contacted via phone (405) 275-1996, or through Kriwanek, Linda S via phone (405) 275-1996.

Contact Information

Primary practice address
1510 N Kickapoo Ave Suite 11 Shawnee OK 74804-4331
Phone: (405) 275-1996
Fax: (405) 275-0809
Website:
Map and Directions
Authorized official contact:
Name: Kriwanek, Linda S C.PED., L.PED.
Phone: (405) 275-1996

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 16 Oklahoma

Profile Details

NPI number 1922106509
LBN Legal business name Shawnee Pedorthic Service, Inc.
DBA Doing business as
Authorized official Kriwanek, Linda S C.PED., L.PED.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 30th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922106509 NPPES
Oklahoma MEDICAID 100808590 A
Oklahoma Other 731580812001

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